Dulera uses. DULERA: Comprehensive Guide to Mometasone Furoate and Formoterol Fumarate Dihydrate for Asthma Management

26.09.202302.07.2023 by alexxlab

What is DULERA and how does it work. How to use DULERA safely and effectively. What are the potential side effects of DULERA. Who should not use DULERA. How does DULERA compare to other asthma medications. What precautions should be taken when using DULERA. How to monitor asthma symptoms while using DULERA.

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Understanding DULERA: Composition and Mechanism of Action

DULERA is a prescription medication used for the treatment of asthma in patients 12 years of age and older. It contains two active ingredients: mometasone furoate and formoterol fumarate dihydrate. Mometasone furoate is an inhaled corticosteroid (ICS) that helps reduce inflammation in the airways, while formoterol fumarate dihydrate is a long-acting beta-2 agonist (LABA) that helps relax and open the airways.

How does DULERA work to control asthma symptoms? The combination of an ICS and a LABA in DULERA provides a dual approach to asthma management:

Mometasone furoate reduces inflammation in the airways, which is a key factor in asthma symptoms.
Formoterol fumarate dihydrate helps to relax the muscles around the airways, making it easier to breathe.

This combination therapy can be more effective in controlling asthma symptoms than using either medication alone. However, it’s important to note that DULERA is not intended for the relief of acute bronchospasm or as a rescue inhaler for sudden asthma symptoms.

Safety Considerations and Potential Risks of DULERA

While DULERA can be an effective treatment for asthma, it’s crucial to understand the potential risks associated with its use. The medication carries a boxed warning, which is the most serious type of warning required by the U.S. Food and Drug Administration (FDA).

What are the key safety concerns with DULERA? The primary safety considerations include:

Increased risk of asthma-related deaths: LABA medications like formoterol, when used alone, can increase the risk of asthma-related death. However, when combined with an ICS, as in DULERA, this risk is not significantly increased.
Potential for serious allergic reactions: Patients may experience rash, hives, swelling of the face, mouth, and tongue, or breathing problems.
Risk of thrush: Yeast infections in the mouth and throat can occur as a side effect of inhaled corticosteroids.
Increased susceptibility to infections: DULERA may lower the body’s ability to fight infections, particularly in patients with existing conditions like tuberculosis or ocular herpes simplex.

It’s essential for patients to discuss these risks with their healthcare provider and report any worsening of asthma symptoms or side effects promptly.

Proper Usage and Administration of DULERA

Using DULERA correctly is crucial for achieving optimal asthma control and minimizing side effects. How should DULERA be administered? The medication comes in an inhaler form and is typically prescribed to be used twice daily.

Here are some key points to remember when using DULERA:

Shake the inhaler well before each use.
Take two puffs in the morning and two puffs in the evening, or as directed by your healthcare provider.
Rinse your mouth with water after each use and spit it out to help prevent thrush.
Keep track of the dose counter on the inhaler to know when it’s time for a refill.
Clean the mouthpiece of the inhaler weekly with a dry tissue.

It’s important to note that DULERA should not be used more often than prescribed, as this can increase the risk of side effects without providing additional benefits.

Monitoring Asthma Symptoms While Using DULERA

Effective asthma management involves not only taking medication as prescribed but also closely monitoring symptoms and lung function. How can patients track their asthma control while using DULERA?

Consider the following strategies:

Keep a symptom diary: Record daily symptoms, peak flow meter readings, and use of rescue inhalers.
Use a peak flow meter regularly: This device can help detect changes in lung function before symptoms become noticeable.
Pay attention to changes in symptoms: Note any increase in coughing, wheezing, or shortness of breath.
Track the frequency of rescue inhaler use: Increased reliance on quick-relief medications may indicate poor asthma control.
Attend regular follow-up appointments: Regular check-ins with a healthcare provider can help assess the effectiveness of DULERA and make any necessary adjustments to the treatment plan.

If asthma symptoms worsen or do not improve with DULERA, it’s crucial to consult a healthcare provider promptly. They may need to adjust the treatment plan or consider alternative medications.

Potential Side Effects and How to Manage Them

Like all medications, DULERA can cause side effects in some patients. What are the most common side effects of DULERA, and how can they be managed?

Common side effects include:

Inflammation of the nose and throat
Sinus inflammation
Headache
Flu-like symptoms
Upper respiratory tract infections

To manage these side effects:

Rinse your mouth after each use to reduce the risk of thrush.
Stay hydrated to help alleviate nasal and throat irritation.
Use a saline nasal spray to relieve nasal inflammation.
Get plenty of rest and maintain good hygiene to reduce the risk of infections.
Consult your healthcare provider if side effects persist or worsen.

It’s important to remember that while these side effects can be bothersome, they often diminish over time as the body adjusts to the medication. However, if side effects are severe or persistent, it’s essential to seek medical advice.

Drug Interactions and Precautions

DULERA can interact with other medications, potentially altering its effectiveness or increasing the risk of side effects. What are some important drug interactions and precautions to be aware of when using DULERA?

Key interactions and precautions include:

Avoid using DULERA with other LABA medications, as this can increase the risk of adverse effects.
Use caution when taking DULERA with certain antifungal and antiviral medications, as they may increase the levels of mometasone in your body.
Be cautious when using DULERA with medications that can affect heart rhythm, such as certain antidepressants or antibiotics.
Inform your healthcare provider about all medications you’re taking, including over-the-counter drugs and supplements.
Use DULERA with caution if you have certain medical conditions, such as heart problems, diabetes, or osteoporosis.

It’s crucial to provide a complete medical history to your healthcare provider before starting DULERA to ensure it’s safe and appropriate for your individual situation.

DULERA in Special Populations: Children, Elderly, and Pregnant Women

The safety and efficacy of DULERA can vary among different population groups. How does the use of DULERA differ for children, elderly patients, and pregnant women?

For children:

DULERA is approved for use in patients 12 years and older.
Children using DULERA should have their growth monitored regularly, as inhaled corticosteroids may affect growth rate.
The risk of hospitalization for asthma may be higher in children using LABA medications.

For elderly patients:

Older adults may be more sensitive to the effects of DULERA and may require closer monitoring.
The risk of osteoporosis should be considered, as long-term use of inhaled corticosteroids can affect bone density.

For pregnant women:

The benefits of using DULERA during pregnancy should be weighed against potential risks.
Some studies suggest a small increased risk of birth defects with the use of inhaled corticosteroids during pregnancy.
Pregnant women with asthma should work closely with their healthcare providers to maintain optimal asthma control while minimizing risks to the fetus.

In all cases, the decision to use DULERA should be made on an individual basis, considering the potential benefits and risks for each patient.

Long-Term Use of DULERA and Asthma Management

DULERA is intended for long-term asthma control, but its use should be regularly evaluated as part of a comprehensive asthma management plan. How can patients and healthcare providers ensure the safe and effective long-term use of DULERA?

Consider the following strategies:

Regular follow-up appointments: Schedule periodic check-ups to assess asthma control and adjust treatment as needed.
Lung function testing: Perform spirometry or peak flow measurements to objectively evaluate lung function over time.
Asthma action plan: Develop and regularly update a written plan that outlines steps to take based on asthma symptoms and peak flow readings.
Minimizing corticosteroid exposure: Work with your healthcare provider to find the lowest effective dose of DULERA to minimize potential long-term side effects of inhaled corticosteroids.
Lifestyle modifications: Incorporate non-pharmacological approaches to asthma management, such as avoiding triggers, maintaining a healthy weight, and not smoking.

By combining proper medication use with lifestyle modifications and regular medical follow-up, patients can maximize the benefits of DULERA while minimizing potential risks associated with long-term use.

Comparing DULERA to Other Asthma Medications

DULERA is one of several combination inhaler options available for asthma treatment. How does DULERA compare to other asthma medications in terms of efficacy and safety?

Here’s a brief comparison:

DULERA vs. single-ingredient inhalers: Combination inhalers like DULERA can improve compliance and may be more effective than using separate ICS and LABA inhalers.
DULERA vs. other combination inhalers: The choice between DULERA and other combination inhalers (e.g., Advair, Symbicort) often depends on individual patient factors and response to treatment.
DULERA vs. oral medications: Inhaled medications like DULERA typically have fewer systemic side effects compared to oral asthma medications.

The choice of asthma medication should be individualized based on factors such as asthma severity, patient preferences, and response to treatment. Your healthcare provider can help determine the most appropriate medication regimen for your specific situation.

Patient Education and Self-Management with DULERA

Effective asthma management extends beyond medication use to include patient education and self-management strategies. How can patients using DULERA take an active role in managing their asthma?

Key aspects of patient education and self-management include:

Understanding asthma triggers: Identify and avoid personal asthma triggers to reduce the frequency and severity of symptoms.
Proper inhaler technique: Ensure correct use of the DULERA inhaler for optimal medication delivery.
Recognizing worsening symptoms: Learn to identify signs of deteriorating asthma control and when to seek medical attention.
Adherence to treatment plan: Understand the importance of taking DULERA as prescribed, even when symptoms are well-controlled.
Environmental control: Implement measures to reduce exposure to allergens and irritants in the home and workplace.

By actively participating in their asthma management, patients can improve their overall asthma control and quality of life while using DULERA.

Addressing Common Concerns and Misconceptions About DULERA

Patients may have various concerns or misconceptions about using DULERA for asthma management. What are some common questions or myths about DULERA, and how can they be addressed?

Here are some frequently asked questions and their answers:

Is DULERA addictive? No, DULERA is not addictive. However, suddenly stopping the medication can lead to worsening asthma symptoms.
Will DULERA affect my immune system? While DULERA may slightly increase the risk of certain infections, it does not significantly compromise the immune system in most patients.
Can I use DULERA during pregnancy? The use of DULERA during pregnancy should be discussed with a healthcare provider, weighing the potential benefits against risks.
Will DULERA interact with my other medications? DULERA can interact with certain medications, so it’s important to inform your healthcare provider about all drugs and supplements you’re taking.
Is it safe to use DULERA long-term? Long-term use of DULERA is generally considered safe when used as prescribed and under medical supervision.

Addressing these concerns and misconceptions can help improve patient understanding and adherence to DULERA treatment.

The Future of Asthma Treatment: DULERA and Beyond

As research in asthma treatment continues to evolve, how might the role of medications like DULERA change in the future? What new developments are on the horizon for asthma management?

Some potential future directions include:

Personalized medicine: Tailoring asthma treatments based on individual genetic profiles and biomarkers.
Novel drug delivery systems: Developing new inhaler technologies for more efficient medication delivery.
Biologic therapies: Expanding the use of targeted biologic medications for severe asthma.
Combination therapies: Exploring new combinations of medications to improve efficacy and reduce side effects.
Digital health solutions: Incorporating smart inhalers and mobile apps for better asthma monitoring and management.

While DULERA remains an important tool in current asthma management, ongoing research may lead to even more effective and personalized treatment options in the future.

Conclusion: Optimizing Asthma Control with DULERA

DULERA offers an effective combination therapy for asthma management in patients 12 years and older. By combining an inhaled corticosteroid (mometasone furoate) with a long-acting beta-2 agonist (formoterol fumarate dihydrate), DULERA provides dual action to control asthma symptoms and improve lung function.

Key takeaways for optimizing asthma control with DULERA include:

Using the medication as prescribed, typically two puffs twice daily
Monitoring asthma symptoms and lung function regularly
Being aware of potential side effects and how to manage them
Understanding drug interactions and precautions
Engaging in patient education and self-management strategies
Maintaining regular follow-up with healthcare providers

By following these guidelines and working closely with healthcare providers, patients can maximize the benefits of DULERA while minimizing potential risks, leading to better asthma control and improved quality of life.

DULERA® (mometasone furoate and formoterol fumarate dihydrate) Official Site

Selected Important Safety Information about DULERA

DULERA contains formoterol. LABA medicines such as formoterol when used alone increase the risk of hospitalizations and death from asthma problems. DULERA contains an ICS and a LABA. When an ICS and LABA are used together, there is not a significant increased risk in hospitalizations and death from asthma problems.

Call your healthcare provider if breathing problems worsen over time while using DULERA. You may need different treatment.
Get emergency medical care if breathing problems worsen quickly, and you use your rescue inhaler medicine, but it does not relieve your breathing problems.

Children and adolescents who take LABA medicines may have an increased risk of being hospitalized for asthma problems.

DULERA does not replace rescue inhalers for sudden asthma symptoms. Always have a rescue inhaler medicine with you to treat sudden symptoms.

Do not use DULERA more often than prescribed. Do not take DULERA with other medicines that contain a LABA for any reason, as using too much LABA may cause chest pain, increase or decrease in blood pressure, fast and irregular heartbeat, headache, tremor, nervousness, dizziness, weakness, seizures, electrocardiogram (ECG) changes, or death. Tell your doctor about medicines you take and about all of your medical conditions.

People taking DULERA may experience

Serious allergic reactions. Call your healthcare provider or get emergency medical care if you get any of these symptoms of a serious allergic reaction: rash, hives, swelling, including swelling of the face, mouth and tongue, or breathing problems.
Serious allergic reactions. Call your healthcare provider or get emergency medical care if you get any of these symptoms of a serious allergic reaction: rash, hives, swelling, including swelling of the face, mouth and tongue, or breathing problems.
Thrush (yeast infection) in the mouth and throat. After each dose (2 puffs), rinse your mouth with water. Spit out the water. Do not swallow it. This will help to prevent thrush in your mouth or throat.
A higher chance of infection. Avoid exposure to chickenpox or measles. If exposed, or if you have any signs of infection, tell your healthcare provider immediately. Worsening of existing tuberculosis, fungal, bacterial, viral or parasitic infections, or ocular herpes simplex may occur.
A higher chance of infection. Avoid exposure to chickenpox or measles. If exposed, or if you have any signs of infection, tell your healthcare provider immediately. Worsening of existing tuberculosis, fungal, bacterial, viral or parasitic infections, or ocular herpes simplex may occur.
Reduced adrenal function (may result in loss of energy). This can happen when you stop taking oral corticosteroid medicines and start inhaled corticosteroid medicines.
Increase in wheezing right after taking DULERA.
Lower bone mineral density. This may be a problem for people who already have a higher chance for low bone density (osteoporosis).
Slowed growth in children.
Eye problems including glaucoma, cataracts, and blurred vision. You should have regular eye exams while using DULERA.
Decrease in blood potassium and increase in blood sugar levels.

If you are switching to DULERA from an oral corticosteroid, follow your healthcare provider’s instructions to avoid serious health risks when you stop using oral corticosteroids.

The most common side effects of DULERA include inflammation of the nose and throat, inflammation of the sinuses, headache, flu, and upper respiratory infection.

You are encouraged to report the negative side effects of prescription drugs to the FDA.Visit www.fda.gov/medwatch or call 1.800.FDA.1088.

Please read the Patient Information for DULERA and discuss it with your doctor. The physician Prescribing Information also is available.

What Is DULERA® (mometasone furoate and formoterol fumarate dihydrate)?

Selected Important Safety Information about DULERA

Call your healthcare provider if breathing problems worsen over time while using DULERA. You may need different treatment.
Get emergency medical care if breathing problems worsen quickly, and you use your rescue inhaler medicine, but it does not relieve your breathing problems.

Children and adolescents who take LABA medicines may have an increased risk of being hospitalized for asthma problems.

DULERA does not replace rescue inhalers for sudden asthma symptoms. Always have a rescue inhaler medicine with you to treat sudden symptoms.

People taking DULERA may experience

Serious allergic reactions. Call your healthcare provider or get emergency medical care if you get any of these symptoms of a serious allergic reaction: rash, hives, swelling, including swelling of the face, mouth and tongue, or breathing problems.
Serious allergic reactions. Call your healthcare provider or get emergency medical care if you get any of these symptoms of a serious allergic reaction: rash, hives, swelling, including swelling of the face, mouth and tongue, or breathing problems.
Thrush (yeast infection) in the mouth and throat. After each dose (2 puffs), rinse your mouth with water. Spit out the water. Do not swallow it. This will help to prevent thrush in your mouth or throat.
A higher chance of infection. Avoid exposure to chickenpox or measles. If exposed, or if you have any signs of infection, tell your healthcare provider immediately. Worsening of existing tuberculosis, fungal, bacterial, viral or parasitic infections, or ocular herpes simplex may occur.
A higher chance of infection. Avoid exposure to chickenpox or measles. If exposed, or if you have any signs of infection, tell your healthcare provider immediately. Worsening of existing tuberculosis, fungal, bacterial, viral or parasitic infections, or ocular herpes simplex may occur.
Reduced adrenal function (may result in loss of energy). This can happen when you stop taking oral corticosteroid medicines and start inhaled corticosteroid medicines.
Increase in wheezing right after taking DULERA.
Lower bone mineral density. This may be a problem for people who already have a higher chance for low bone density (osteoporosis).
Slowed growth in children.
Eye problems including glaucoma, cataracts, and blurred vision. You should have regular eye exams while using DULERA.
Decrease in blood potassium and increase in blood sugar levels.

If you are switching to DULERA from an oral corticosteroid, follow your healthcare provider’s instructions to avoid serious health risks when you stop using oral corticosteroids.

The most common side effects of DULERA include inflammation of the nose and throat, inflammation of the sinuses, headache, flu, and upper respiratory infection.

You are encouraged to report the negative side effects of prescription drugs to the FDA.Visit www.fda.gov/medwatch or call 1.800.FDA.1088.

Please read the Patient Information for DULERA and discuss it with your doctor. The physician Prescribing Information also is available.

What is the “understudy method” and how to double productivity with it

Productivity

November 10, 2022

You may already be using this technique and not even know it.

What is the double method

This practice is to work simultaneously with other people who are either physically or virtually with you. They are sometimes referred to as “responsibility buddies” and their presence alone helps them stay focused and get things done.

The understudy method is one of the productivity techniques that you can often use without even knowing it. For example, when you go to work in a busy cafe, instead of staying at home and being distracted by other things all the time. Or when exercising at the gym surrounded by fellow members doing the same instead of working out alone.

Surprisingly, the presence of people helps us to keep our attention, even when we are working on the most annoying or unpleasant tasks. Perhaps this is due to the fact that a person is social by nature. And when we do something together with others, we not only complete tasks, but also form social bonds.

Working in pairs is especially recommended for people with disorders that lead to problems concentrating, such as ADHD. But even if you don’t have them, the understudy method will still help increase productivity and motivation.

How to use it

Choose whether you’re in person or virtual, and find people to work with at the same time. For example, gather friends who work remotely in one place or in one Zoom meeting.

The risk is that the doubler’s method can easily become a distraction. Therefore, you need to outline clear rules so as not to be interrupted by communication and all sorts of little things.

If your tasks require high concentration, agree on how many minutes or hours you will communicate, and how many you will work in absolute silence. When it comes to tasks that take time and concentration is not important, try to communicate to keep each other motivated. For example, chatting on the phone with a friend while you are cleaning your apartment.

Mometasone and Formoterol | Memorial Sloan Kettering Cancer Center

Adult Medication

This document provided by Lexicomp ^® contains all the information you need to know about the drug, including indications, directions for use, side effects, and when you should contact your healthcare provider.

Trade names: USA

Dulera

Trade names: Canada

Zenhale

What is this drug used for?

The drug is used to treat asthma.
This drug is not intended to treat acute attacks of shortness of breath. Use a rescue inhaler. Consult your doctor.

What should I tell my doctor BEFORE taking this drug?

If you have an allergy to this drug, any of its ingredients, other drugs, foods or substances. Tell your doctor about your allergies and how they have manifested.
If you are taking another drug like this one. If in doubt, consult your doctor or pharmacist.

This list of drugs and conditions that may interfere with this drug is not all-inclusive.

Tell your doctor and pharmacist about all medicines you take (both prescription and over-the-counter, natural products and vitamins) and any health problems you have. You need to make sure that this drug is safe for your conditions and in combination with other drugs you are already taking. Do not start or stop taking any drug or change the dosage without your doctor’s advice.

What do I need to know or do while taking this drug?

Tell all your health care workers that you are taking this drug. These are doctors, nurses, pharmacists and dentists.
If you have diabetes, please consult your doctor. This drug may raise blood sugar levels.
It may take several weeks for full results to be seen.
If your respiratory symptoms get worse, your rescue inhaler isn’t working, or if you need to use your rescue inhaler more often, call your doctor right away.
Do not use this drug at a higher dose or for longer than the time your doctor tells you to. The use of this type of drug in too high doses has led to death. Consult with your doctor.
If you have been taking this drug for several weeks, talk to your doctor before stopping it. It may be best to gradually stop taking this medicine.
When switching from an oral steroid to another form of steroid, very serious, sometimes deadly, side effects can occur. Symptoms may include weakness, feeling very tired, dizziness, nausea, vomiting, confusion, and low blood sugar. If any of these symptoms occur, contact your doctor immediately. In the event of a serious injury, surgery, or any kind of infection, you may need to increase the dosage of oral steroids. Increasing the dose of steroids will help your body cope with these stresses. Carry a card with you that indicates that you may need an increased dose of steroids in certain cases.
With prolonged use, the likelihood of developing cataracts or glaucoma increases. Consult your doctor.
Check your eyesight as directed by your doctor.
Long-term use of this drug can cause brittle bones (osteoporosis). If you have an increased risk of increased bone fragility or have questions, talk to your doctor.
You may be at increased risk of developing an infection. Wash your hands frequently. Try not to contact with carriers of the infection, incl. with people who have a cold or the flu.
People who take steroid medicines such as this drug can get very bad chickenpox or rubella and sometimes die. If you have never had chickenpox or rubella, avoid contact with people who have these diseases. In case of contact with a person with chickenpox or rubella, consult your doctor.
In some cases, the drug may affect the growth rate in children and adolescents. They may need regular growth rate checks. Consult your doctor.
Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. The benefits and risks for you and your child will need to be discussed.

Which side effects should I report to my doctor immediately?

WARNING. In rare cases, this drug can cause serious and sometimes deadly side effects in some patients. Call your doctor right away or get medical help if you have any of the following signs or symptoms that could be associated with serious side effects:

Signs of an allergic reaction, such as rash, hives, itching, red and swollen skin with blisters or peeling, possibly accompanied by fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue or throat.
Signs of infection, such as fever, chills, very bad pain in the throat, ear, or sinuses, cough, more sputum or change in color, pain when urinating, mouth sores, or a sore that doesn’t heal.
Signs of high blood sugar such as confusion, drowsiness, unusual thirst and hunger, increased urination, flushing, rapid breathing, and fruity breath.
Signs of low potassium, such as muscle pain or weakness, muscle cramps, or a feeling of irregular heartbeat.
Signs of adrenal dysfunction, such as severe nausea or vomiting, severe dizziness or loss of consciousness, muscle weakness, feeling very tired, mood changes, decreased appetite, or weight loss.
Signs of high or low blood pressure, such as a very severe headache or dizziness, fainting, or changes in vision.
Pain or pressure in the chest.
Increased or abnormal heart rhythm.
Nervous tension and agitation.
Shiver.
Seizures.
Sleep disorders.
Severe nausea or vomiting.
Redness or white patches in the mouth or throat.
Vision changes, eye pain or severe eye irritation.
Feeling tired or weak.
Hyperemia (blush).
This drug can cause severe breathing problems immediately after ingestion. Sometimes it can be life threatening. If you have trouble breathing, difficulty breathing, wheezing, or coughing after using this drug, use a rescue inhaler immediately and get medical help.

What are some other side effects of this drug?

Any medicine can have side effects. However, for many people, side effects are either minor or non-existent. Contact your doctor or seek medical attention if these or any other side effects bother you or do not go away:

Headache.
Irritation of the nose or throat.
Signs of a cold.
Flu-like symptoms.

This list of possible side effects is not exhaustive. If you have any questions about side effects, please contact your doctor. Talk to your doctor about side effects.

You can report side effects to the National Health Board.

You can report side effects to the FDA at 1-800-332-1088. You can also report side effects at https://www.fda.gov/medwatch.

What is the best way to take this drug?

Use this drug as directed by your doctor. Read all the information provided to you. Strictly follow all instructions.

For inhalation only.
Prepare the inhaler before first use, or if it has not been used for more than 5 days. To prepare the inhaler, spray it into the air 4 times away from the face and eyes. Shake the inhaler well before each spray.
Keep using this drug as directed by your doctor or other health care professional, even if you feel well.
Avoid contact with eyes.
If this drug gets in your eyes, rinse your eyes with plenty of water. If eye irritation persists for some time, consult your doctor.
Shake well before use.
Rinse your mouth after each use. Do not swallow water after rinsing. Spit the water.
After completing the dose, close the cap.
Some inhalers are equipped with a dose counter to keep track of how many doses are left. If this function is available, discard the inhaler when the dose counter shows “0”.
Do not use near open flames or while smoking. Explosive.
Use a new inhaler each time you refill.
Use only the device sold with this drug. Do not use other devices.
Do not disassemble the device or wash it with water. Clean the mouthpiece at least every 7 days of use by wiping it dry.
If you are prescribed not 1, but several inhalation drugs, check with your doctor which one should be used first.

What should I do if I miss a dose of a drug?

Skip the forgotten dose and return to your regular schedule.
Do not take 2 doses or an additional dose at the same time.

How do I store and/or discard this drug?

Store at room temperature in a dry place. Do not store in the bathroom.
The 60-dose inhaler should be stored with the mouthpiece down or out of the way. Do not store the inhaler with the mouthpiece up. The 120 dose inhaler can be stored in any position.
Protect from heat or open flame. Do not pierce or burn, even if it appears to be empty.
Keep all medicines in a safe place. Keep all medicines out of the reach of children and pets.
Dispose of unused or expired drugs. Do not empty into a toilet or sewer unless instructed to do so. If you have any questions about disposing of medicines, ask your pharmacist. Drug disposal programs may be in place in your area.

General information about medicines

If your health does not improve or even worsens, see your doctor.
Do not give your medicine to anyone and do not take other people’s medicines.
Some medicines may come with other patient information leaflets. If you have any questions about this drug, talk with your doctor, nurse, pharmacist, or other health care professional.
Some medicines may come with other patient information leaflets. Check with your pharmacist. If you have any questions about this drug, talk with your doctor, nurse, pharmacist, or other health care professional.
If you think you have overdosed, call a poison control center or get medical help right away. Be prepared to tell or show what drug you took, how much, and when it happened.

Consumer Use of Information and Limitation of Liability

This summary information includes a summary of the diagnosis, treatment and/or drug product. It is not intended to be a comprehensive source of data and should be used as a tool to help the user understand and/or evaluate potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a particular patient.